What is the treatment for gaps between teeth?
Spacing b/w teeth or gaps between teeth can be of different varieties.
Spacing or gap b/w front teeth (central incisors): This is called diastema. It is usually due to strong frenum extending b/w front teeth towards the palate.
Gaps between teeth may also be due to
- Small teeth in wider arch.
- Periodontal diseases
Composite or tooth colored fillings: The space can be closed with tooth colored filling materials called composites. This procedure can be completed in single visit. These fillings need to be replaced once in couple of years as composite fillings tend to absorb color from food and get stained. Maintenance is essential in such fillings.
Ceramic crowns or veneers: Permanent closure of space b/w teeth can be achieved with the help of caps/crowns and veneers. Ceramic crowns or ceramic veneers are the material of choice for bright lifelike teeth. This is a permanent solution.
Orthodontic procedure: Braces or an orthodontic procedure is a permanent solution to close the gaps in between teeth. Fixed retention is advised in teeth spacing problems
Frenectomy: Strong frenum pushing the teeth apart: In case of pressure from strong frenum, the central incisors are forced away from each other resulting in gap called diastema. The frenum is removed by a small surgical procedure called frenectomy. Then teeth can be placed close to each other with braces & the gap gets closed. Fixed retention is advisable in such situations.
What is the treatment for small upper lateral incisors or peg laterals?
Peg laterals- when the lateral incisors of the upper arch are too small and are in the shape of a peg are called peg laterals. This is a developmental deformity. As the lateral incisors are small, there will be space between them and the adjacent teeth. This spacing and small shapeless tooth can make smile unattractive.
Treatment is aimed at improving the shape and size of these peg laterals thus to improve beauty of the smile. This can be done by multiple procedures.
Tooth bonding/composite veneers: Composite veneers immediately improve the shape and size of teeth. But the disadvantages of this procedure are the composite material may absorb food colorants and may get discolored. Since it is a brittle material the veneers might chip off.
Ceramic veneers: Ceramic veneers provide beautiful and long lasting solution to this problem. The tooth needs very little preparation and impressions are made. At the lab, ceramic veneers are prepared that suit with the adjacent teeth both in size as well as in color. Later theses veneers are fixed over the peg laterals and the smile gets brighter and beautiful.
What is the treatment for empty spaces in the jaws due to missing or un erupted teeth?
The empty spaces created due to loss of teeth or missing teeth can be restored with bridges or by tooth implants.
Bridges are used to replace missing teeth and derive their support from adjacent natural teeth.
Implants replace missing teeth and they derive their support from the alveolar bone.